Individual provider Active NPI

Mona Mistry, PT

  • Physical Therapist
  • Reston, VA
National Provider Identifier
1861621450
Registry record updated Nov 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305205089 Issued in VA
Practice address
1860 Town Center Drive, Suite 150
Reston, VA 20190-5905
Phone
(703) 480-0220
NPI assigned
Jul 6, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2305205089 VA Primary

Addresses

Primary practice location

1860 Town Center Drive, Suite 150
Reston, VA 20190-5905

Mailing address

224-D Cornwall Street, NW, Suite 403
Leesburg, VA 20176-2704
Phone (703) 737-6010

Other practice location 1

10461 White Granite Dr Ste 106
Oakton, VA 22124-2762
Phone (703) 559-6823

Other identifiers 1

IdentifierTypeStateIssuer
30017985390001MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230412000429 DC Practitioner - Physical Therapist in Private Practice 6709131220 Reassigns benefits to 4 organizations
I20230412002477 VA Practitioner - Physical Therapist in Private Practice 6709131220 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Loudoun Medical Group, PCGroup PAC ID 0042119661, 272 clinicians
Gastrointestinal Specialists LLCGroup PAC ID 5294797957, 79 clinicians

Practice addresses (Care Compare)

1860 Town Ctr Dr
Suite 150
Reston, VA 20190-5905
Phone (703) 480-0220

19415 Deerfield Ave
Suite 112
Leesburg, VA 20176-8470
Phone (703) 724-1195

Merit-based Incentive Payment System (MIPS)

Final score
92.65 of 100Reported as apm
Quality
85.31
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Loudoun Medical Group, PC CurrentSince Oct 21, 2024 Accepting new patients
River5 Therapy 1, LLC Physical Therapist CurrentSince Jan 2, 2024 Accepting new patients
Gastrointestinal Specialists LLC Physical Therapist CurrentSince Feb 1, 2026 Accepting new patients
Professional Sportscare & Rehab, LLC Physical Therapist CurrentSince Feb 12, 2023 Accepting new patients
Loudoun Medical Group, PC CurrentSince Oct 21, 2024 Accepting new patients
Loudoun Medical Group, PC CurrentSince Oct 21, 2024 Accepting new patients
Loudoun Medical Group, PC Current Accepting new patients
Professional Sportscare & Rehab, LLC Physical Therapist Past Accepting new patients

Locations

6355 Walker Ln
Ste 308
Alexandria, VA 22310
Phone (703) 313-7700

1600 Wilson Blvd
Ste 102
Arlington, VA 22209
Phone (301) 464-4500

20955 Professional Plz
Ste 200
Ashburn, VA 20147
Phone (703) 729-7652

19415 Deerfield Ave
Ste 112
Leesburg, VA 20176
Phone (703) 724-1195

224D Cornwall St NW
Ste 400
Leesburg, VA 20176
Phone (703) 443-6733

224D Cornwall St NW
Ste 403
Leesburg, VA 20176
Phone (703) 737-6001

11662 Sudley Manor Dr
#50B
Manassas, VA 20109
Phone (571) 321-5720

10461 White Granite Dr
Ste 106
Oakton, VA 22124
Phone (703) 559-6823

1860 Town Center Dr
Ste 150
Reston, VA 20190
Phone (703) 480-0220

6602 W Broad St
#B
Richmond, VA 23230
Phone (804) 289-1137

Interoperability endpoints

  • Direct secure messaging: mona.mistry@lmg1.eclinicaldirectplus.com

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1246838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732579200000",
    "number": "1861621450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224-D CORNWALL STREET, NW, SUITE 403",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201762704",
            "telephone_number": "703-737-6010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1860 TOWN CENTER DRIVE, SUITE 150",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201905905",
            "telephone_number": "703-480-0220"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10461 White Granite Dr Ste 106",
            "address_purpose": "LOCATION",
            "city": "Oakton",
            "state": "VA",
            "postal_code": "221242762",
            "country_code": "US",
            "telephone_number": "703-559-6823",
            "fax_number": "888-546-3565",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MISTRY",
        "first_name": "MONA",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-06",
        "last_updated": "2024-11-26",
        "certification_date": "2024-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305205089",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30017985390001",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Reston, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.